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Slide #2 Gastroschisis
- Gastroschisis & Omphalocele are both fetal wall abnormalities
- Gastroschisis is a small defect involving all 3 layers of the abdominal wall
- It is a protrusion of intestines into the amniotic cavity
- Sometimes other organs like the stomach & liver can stick out as well
- The defect is usually on the right side of the umbilicus
- Due to intestines not being covered in a protective sac, it is exposed to the amniotic fluid causing bowel to become irritated and become shortened, twisted & swollen
- Gastroschisis is an isolated finding; therefore, NO associated anomalies are found
- It affects 1 to 2 in 10,000 children
- More common in babies who have younger moms
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Slide #2 Omphalocele
- is aka Exomphalos
- It is where Infants intestines, liver or other organs stick outside of the belly button
- The organs are covered in a thin, nearly transparent sac
- It is located at the umbilicus cord insert
- The sac can rupture during deliver & cause Sepsis so a C-section delivery is recommended
- Because Omphalocele is a midline defect it is highly associated with other abnormalities such as heart defects, neural tube defects & chromosomal abnormalities
- Both Gastroschisis and Ompalocele will show
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Read off USA on the screen
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Treatment
- Soon after the baby is born, surgery will be needed to place the abdominal organs inside the baby's body & repair the defect
- Timing of surgery will depend on the baby's condition
- In about 15% of infants with gastroschisis, the intestines will not fit inside the belly without causing too much pressure inside
- This pressure could lead to problems with the heart, lungs and blood supply to the intestines
- If pressure is too high, a pouch called "silo" is sown on the baby's abdominal wall
- The intestines are placed inside on top of the baby's belly over the course of 5-10 days
- Once the intestines are back inside the belly, the bag is taken off and the belly is sown closed
- Baby will receive nutrients through an IV line, antibiotics to prevent infection & careful attention to control the baby's temperature
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